Christ Washing the Disciples' Feet, Giotto (c.1305)

 

Public domain.

Source: 

Link: https://www.wikiart.org/en/giotto/christ-washing-the-disciples-feet

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Divergent avian #strains drive an off-season #influenza A #peak in municipal #wastewater

 

Abstract

Wastewater sequencing is an increasingly valuable tool in tracking the spread of infectious disease agents across space and time in areas of dense human settlement. Among pathogens that can be readily detected by this approach is influenza A, which follows predictable patterns of prevalence through the winter months in North America. Here, we leverage routine surveillance of a municipal wastewater treatment plant in Northern California to describe an atypical, off-season spike in influenza A concentrations that rivals that of the winter respiratory virus season. Drawing upon metagenomic data generated through hybrid-capture sequencing, we assemble and subsequently characterize fragments of divergent influenza genomes that appear to derive predominantly from the avian H16 clade. These strains exhibit close evolutionary relationships to influenza isolated from migratory shorebirds, hinting at potential host species and mechanisms of geographic spread. Analysis of read abundances suggest that these avian strains dominate the pool of influenza circulating during the summer months, when typical human-infecting strains are essentially absent. Together, our results expand the value of wastewater sequencing to encompass sensitive tracking of outbreaks within animals in interface regions where human settlement abuts wildlands, increasing overall pandemic preparedness.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This project was supported by a gift from the Sergey Brin Family Foundation to A.B.B.

Source: 

Link: https://www.medrxiv.org/content/10.64898/2026.04.02.26350079v1

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#Coronavirus Disease Research #References (by AMEDEO, April 4 '26)

 

Ann Intern Med

1. REIS G, Dos Santos Moreira Silva EA, Medeiros Silva DC, Thabane L, et al
   The Effect of Fluvoxamine and Metformin for Fatigue in Patients With Long COVID : An Adaptive Randomized Trial.
   Ann Intern Med. 2026 Mar 31. doi: 10.7326/ANNALS-25-03959.
   PubMed         Abstract available
   
   

   
   Clin Infect Dis

2. NADIG N, Bhimraj A, Cawcutt K, Chiotos K, et al
   2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Baricitinib vs. Tocilizumab.
   Clin Infect Dis. 2026 Apr 1:ciaf681. doi: 10.1093.
   PubMed         Abstract available
   
   
3. SHUMAKER AH, Bhimraj A, Bedimo R, Cheng VC, et al
   2025 Clinical Practice Guideline Update by the Infectious Diseases Society of America on the Treatment and Management of COVID-19: Antiviral Treatment for Mild to Moderate COVID-19 in Adults.
   Clin Infect Dis. 2026 Apr 1:ciaf680. doi: 10.1093.
   PubMed         Abstract available
   
   

   
   Int J Infect Dis

4. HOSSAIN MS, Goyal R, Martin NK, DeGruttola V, et al
   Machine Learning and Probabilistic Approaches for Forecasting Infectious Disease Transmission and Cases.
   Int J Infect Dis. 2026 Mar 30:108674. doi: 10.1016/j.ijid.2026.108674.
   PubMed         Abstract available
   
   
5. VESELY D, Capek V, Sanca O, Beran J, et al
   Inosine pranobex was associated with a reduction in mortality in COVID-19 by over 22%, as reported in a retrospective study utilizing complete health data from the Czech national registry.
   Int J Infect Dis. 2026 Dec 31:108519. doi: 10.1016/j.ijid.2026.108519.
   PubMed         Abstract available
   
   

   
   J Med Virol

6. GARCIA-VILLALBA J, Hurtado-Navarro L, Angosto-Bazarra D, Baroja-Mazo A, et al
   The Open Reading Frame 7b of the SARS-CoV-2 Disperse Trans-Golgi and Activate the NLRP3 Inflammasome.
   J Med Virol. 2026;98:e70894.
   PubMed         Abstract available
   
   
7. THEO CH, Sam IC, Chan YF
   The Diverse Roles of Heparan Sulfate in RNA Virus Infections: Insights From Enterovirus A71, Severe Acute Respiratory Syndrome Coronavirus 2, and Chikungunya Virus.
   J Med Virol. 2026;98:e70888.
   PubMed         Abstract available
   
   

   
   J Virol

8. MOU C, Liu M, Xiang Y, Lin C, et al
   SADS-CoV NS3 induces apoptosis by blocking the formation of Bcl-xL-BAK complex.
   J Virol. 2026 Mar 31:e0021626. doi: 10.1128/jvi.00216.
   PubMed         Abstract available
   
   
9. KONG W, Zhang J, Song Y, Song J, et al
   Disruption of spike protein N-glycosylation induces its endoplasmic reticulum retention and attenuates SARS-CoV-2 infectivity.
   J Virol. 2026 Mar 30:e0027026. doi: 10.1128/jvi.00270.
   PubMed         Abstract available
   
   
10. GUO X, Zhao X, He J, Lu Y, et al
    E3 ubiquitin ligase NEDD4 inhibits PEDV infection through ubiquitination and degradation of the viral primase NSP8.
    J Virol. 2026 Mar 30:e0215625. doi: 10.1128/jvi.02156.
    PubMed         Abstract available
    
    
11. XIU R, Wang Y, Cai W, Wang Q, et al
    Potent in vitro synergistic antiviral effects of the pan-coronavirus fusion inhibitor EK1 in combination with RBD-specific antibodies or M(pro) inhibitors.
    J Virol. 2026 Mar 30:e0007626. doi: 10.1128/jvi.00076.
    PubMed         Abstract available
    
    
12. CHENG D, Luo Z, Ning W, Heath SL, et al
    Systemic translocation of Staphylococcus aureus promotes autoimmunity: implications in autoantibody-mediated poor immune reconstitution from antiretroviral therapy in HIV.
    J Virol. 2026 Apr 3:e0196525. doi: 10.1128/jvi.01965.
    PubMed         Abstract available
    
    
13. POZHIDAEVA A, Hoch JC, Pustovalova Y
    The DMV pore-forming TM2-Y region of SARS-CoV-2 nsp3 exhibits structural conservation beyond the coronavirus family.
    J Virol. 2026 Apr 3:e0203825. doi: 10.1128/jvi.02038.
    PubMed         Abstract available
    
    

    
    JAMA

14. ANDERER S
    US COVID-19 Deaths May Have Been Underreported, Study Finds.
    JAMA. 2026 Apr 3. doi: 10.1001/jama.2026.1032.
    PubMed        
    
    

    
    Lancet Infect Dis

15. CAMICI M, Piano Mortari E, Del Duca G, Cimini E, et al
    Intravenous immunoglobulin treatment for long COVID: a case report of clinical and immunological findings.
    Lancet Infect Dis. 2026 Mar 31:S1473-3099(26)00063.
    PubMed         Abstract available
    
    
16. WALKER MK, Yek C, Sarzynski S, Warner S, et al
    Survival trends in patients with difficult-to-treat, antibiotic-resistant, Gram-negative infections in the era of next-generation antibiotics in the USA: a retrospective cohort study.
    Lancet Infect Dis. 2026 Mar 25:S1473-3099(26)00020.
    PubMed         Abstract available
    
    

    
    MMWR Morb Mortal Wkly Rep

17. MEGHANI M, Garacci Z, Razzaghi H, de Perio MA, et al
    Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel - United States, 2024-25 Respiratory Virus Season.
    MMWR Morb Mortal Wkly Rep. 2026;75:164-171.
    PubMed         Abstract available
    
    

    
    Science

18. STONE R
    U.S. blockade hits Cuba's health care and science.
    Science. 2026;392:8-9.
    PubMed         Abstract available
    
    
19. FAN Q, Mei J, Li T, Zang C, et al
    A high-throughput selection system for fast-acting covalent protein drugs.
    Science. 2026 Apr 2:eadv3081. doi: 10.1126/science.adv3081.
    PubMed         Abstract available
    

#Influenza and Other Respiratory Viruses Research #References (by AMEDEO, April 4 '26)

 

Antimicrob Agents Chemother

1. VETTER P, Cabecinhas ARG, Schibler M, Kaiser L, et al
   Use of baloxavir as adjunctive antiviral therapy to neuraminidase inhibitors in severely immunocompromised individuals infected with influenza.
   Antimicrob Agents Chemother. 2026 Mar 27:e0165925. doi: 10.1128/aac.01659.
   PubMed         Abstract available
   
   

   
   J Infect Dis

2. HUNT JH, Damhorst GL, Parsons R, Frediani JK, et al
   Peak Nasal SARS-CoV-2 and Influenza Viral Loads Relative to Symptom Onset, 2022-2025: Impact of Vaccination and Implications for Multiplexed Testing.
   J Infect Dis. 2026 Apr 1:jiag169. doi: 10.1093.
   PubMed         Abstract available
   
   

   
   J Virol

3. KIM K-H, Hwang HS, Pal SS, Tien Le CT, et al
   Type I interferon signaling is required for resistance to primary influenza virus infection and vaccine-induced long-term immunity.
   J Virol. 2026 Mar 27:e0022926. doi: 10.1128/jvi.00229.
   PubMed         Abstract available
   
   
4. CIACCI ZANELLA G, Cardenas MI, Hutter CR, Snyder CA, et al
   Impact of maternal antibodies and weaning stress on the replication and transmission of human H3N2 influenza A in piglets.
   J Virol. 2026 Mar 27:e0197525. doi: 10.1128/jvi.01975.
   PubMed         Abstract available
   
   

   
   MMWR Morb Mortal Wkly Rep

5. MEGHANI M, Garacci Z, Razzaghi H, de Perio MA, et al
   Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel - United States, 2024-25 Respiratory Virus Season.
   MMWR Morb Mortal Wkly Rep. 2026;75:164-171.
   PubMed         Abstract available
   
   

   
   PLoS Biol

6. MULLOY RP, Evseev D, Sharlin N, Bui-Marinos MP, et al
   Evolution of a truncated nucleocapsid protein enhances SARS-CoV-2 fitness by suppressing antiviral responses.
   PLoS Biol. 2026;24:e3003646.
   PubMed         Abstract available
   
   

   
   PLoS Comput Biol

7. GANGWAR P, Katte P, Bhat M, Turakhia Y, et al
   WEPP: Phylogenetic placement achieves near-haplotype resolution in wastewater-based epidemiology.
   PLoS Comput Biol. 2026;22:e1014124.
   PubMed         Abstract available
   
   
8. ORSINELLI-RIVERS S, Beaglehole D, Einav T
   CAPYBARA: A generalizable framework for predicting serological measurements across human cohorts.
   PLoS Comput Biol. 2026;22:e1014129.
   PubMed         Abstract available
   
   

   
   PLoS Med

9. XIAO H, Bai G, Liu F, Cui Y, et al
   Policy stringency during the COVID-19 pandemic and healthcare services utilization in China: An interrupted time-series analysis.
   PLoS Med. 2026;23:e1004672.
   PubMed         Abstract available
   
   

   
   PLoS One

10. BRAUN J, Hill ED, Contreras E, Yasuda M, et al
    Contrasting effects of SARS-CoV-2 vaccination vs. infection on antibody and TCR repertoires.
    PLoS One. 2026;21:e0343939.
    PubMed         Abstract available
    
    
11. ADYNSKI GI, Dictus C, Adynski H, Killela MK, et al
    Experiences of registered nurses and nursing assistants during COVID-19: Work stress, stress appraisal, and workplace resources; A qualitative descriptive study.
    PLoS One. 2026;21:e0345525.
    PubMed         Abstract available
    
    
12. BORBOR-CORDOVA MJ, Searles M, Roa-Lopez H, Cornejo-Rodriguez MDP, et al
    Integrating psychosocial health into disaster risk management: Insights from COVID-19 in Duran, Ecuador.
    PLoS One. 2026;21:e0343239.
    PubMed         Abstract available
    
    
13. HASSAN M, Iqbal MS, Yasir M, Chun W, et al
    Assessment of miRNAs as transcriptional regulators in respiratory syncytial virus infection through computational analysis and molecular docking studies.
    PLoS One. 2026;21:e0345571.
    PubMed         Abstract available
    
    
14. NAKAZATO T, Romani-Romani F, Gutierrez C
    Screen time and chronic neck pain in Peru: A comparative population-based cross-sectional study in the COVID-19 post-pandemic period.
    PLoS One. 2026;21:e0344257.
    PubMed         Abstract available
    
    
15. PARK H, Miyano S
    Network-constrained Random Lasso for biologically interpretable gene network inference across unequal sample sizes.
    PLoS One. 2026;21:e0344198.
    PubMed         Abstract available
    
    
16. USAMA M, Azeem M, Mustafa G
    Computational prediction of binding affinity and structural impact of three Pakistani SARS-CoV-2 spike RBD variants on human ACE2 interaction.
    PLoS One. 2026;21:e0346242.
    PubMed         Abstract available
    
    
17. KIM SY, Kim G, Park S, Kim C, et al
    Voting intentions during the later stage of the COVID-19 pandemic: The roles of risk perception and performance evaluations in South Korea.
    PLoS One. 2026;21:e0345621.
    PubMed         Abstract available
    
    
18. CHUEMCHIT M, Linn N, Han CPP, Lynn Z, et al
    Violence against women migrant workers in Thailand: A cross-sectional study on experiences, impact, and help seeking.
    PLoS One. 2026;21:e0345790.
    PubMed         Abstract available
    
    
19. WONG KH, Pandya N, McCollum S, Shabanova V, et al
    Language barriers in pediatric food allergy care: A single-center study on healthcare disparities.
    PLoS One. 2026;21:e0346248.
    PubMed         Abstract available
    
    
20. VELTHUIJS ELM, Ismail I, de Leeuw RA, Hehenkamp WJK, et al
    Evaluating patient harm minimization during the COVID-19-driven reduction in benign gynecological care: a nationwide claims-based longitudinal study in the Netherlands.
    PLoS One. 2026;21:e0345619.
    PubMed         Abstract available
    
    
21. RODRIGUEZ LIMA DR, Molano-Gonzalez N, Vargas Villanueva A, Pinilla Rojas DI, et al
    Mechanical ventilation as an independent risk factor for mortality in COVID-19-related ARDS: A secondary analysis using propensity score weighting.
    PLoS One. 2026;21:e0344866.
    PubMed         Abstract available
    
    
22. LESTARI BW, Alifia A, Karnawati PWW, Ramadhani NS, et al
    Assessment of post-pandemic NAAT-based diagnostic capacity among laboratories with COVID-19 testing resource investments in Indonesia.
    PLoS One. 2026;21:e0343628.
    PubMed         Abstract available
    
    
23. BECK WELLS M
    Disciplinary removal patterns among students with other health impairments and emotional disturbance: A three-year descriptive analysis of IDEA Part B data.
    PLoS One. 2026;21:e0346338.
    PubMed         Abstract available
    
    
24. HASEEB MW, Toutounji M
    Non-markovian electron tunneling in SARS-CoV-2 virus infection in structured environments.
    PLoS One. 2026;21:e0344447.
    PubMed         Abstract available
    
    
25. IUNES FM, Aranha Rossi T, Soares F, Torres TS, et al
    Factors associated with COVID-19 vaccination schedule completion among adults in high-social-vulnerability neighborhoods in two Brazilian state capitals: A cross-sectional study.
    PLoS One. 2026;21:e0346091.
    PubMed         Abstract available
    
    
26. RIBEIRO NM, Alexandre d'Auria de Lima MCR, Monroe AA, Vinci ALT, et al
    Health and social policies to advance Brazil's End TB agenda during and after COVID-19: An analysis from tripartite governance and normative innovation perspectives.
    PLoS One. 2026;21:e0345867.
    PubMed         Abstract available
    
    
27. STANDEN C, Tordjmann E, Wood J, Haigh F, et al
    Associations between area-level socioeconomic disadvantage and COVID-19 disease consequences in Sydney, Australia: A retrospective cohort analysis.
    PLoS One. 2026;21:e0334206.
    PubMed         Abstract available
    
    

    
    Proc Natl Acad Sci U S A

28. CORELL-ESCUIN P, Belmonte-Ballester S, Adhav A, Marina A, et al
    Dermcidin has antiviral activity and protects against influenza.
    Proc Natl Acad Sci U S A. 2026;123:e2424461123.
    PubMed         Abstract available
    
    

    
    Vaccine

29. CHAN CP, Wong NS, Lee SS
    Normalising enhanced influenza vaccines as a strategy to promote vaccination uptake in healthcare workers: Insights from a discrete choice experiment.
    Vaccine. 2026;80:128539.
    PubMed         Abstract available
    
    
30. PODER A, Trinidad-Aseron M, Van Twuijver E, Versage E, et al
    Immunogenicity and safety of MF59-adjuvanted H5N1 pandemic influenza vaccine in healthy infants and children: a phase 2 randomized, observer-blind, multicenter study.
    Vaccine. 2026;80:128504.
    PubMed         Abstract available
    
    
31. TSCHERNE A, Krammer F
    Seven decades after the Asian influenza pandemic: A historical review about immunity and vaccines against H2N2.
    Vaccine. 2026;79:128467.
    PubMed         Abstract available
    
    
32. VAN TRUONG L, Van Nguyen T, Trang VTT, Le TTT, et al
    Determinants of COVID-19 vaccine hesitancy across 186 countries: a multifaceted analysis using structural equation modeling.
    Vaccine. 2026;78:128196.
    PubMed         Abstract available
    
    
33. PHIJFFER EWEM, Sivakumar C, van den Hoogen A, Crombag NMTH, et al
    Preferences of Dutch pregnant women for RSV immunisation - a mixed method study.
    Vaccine. 2026;78:128409.
    PubMed         Abstract available
    
    
34. WANG X, Patel C, Sharma K, Giles ML, et al
    Immunisation against vaccine-preventable diseases in individuals receiving immunosuppressive targeted therapies.
    Vaccine. 2026;78:128399.
    PubMed         Abstract available
    
    
35. RUIZ-PALACIOS GM, Cahn PE, Halperin SA, Wang R, et al
    Adenovirus type 5 vector-based COVID-19 vaccine does not increase the likelihood of HIV infection.
    Vaccine. 2026;78:128378.
    PubMed         Abstract available
    
    
36. LYONS AJ, Mhatre MM, Argenio K, Day S, et al
    Does human papillomavirus vaccination status differ by disability status in New York city public schools?
    Vaccine. 2026;78:128404.
    PubMed         Abstract available
    
    
37. SABATE M, Riera-Arnau J, Ballarin E, Pares-Badell O, et al
    Validation of Guillain-Barre syndrome case identification in three heterogeneous VAC4EU real-world data sources in Spain using the Brighton Collaboration criteria.
    Vaccine. 2026;78:128397.
    PubMed         Abstract available
    
    

    
    Virology

38. RAMUTH M, Sonoo J, Pyndiah N, Rughooputh S, et al
    Epidemiology of influenza A and B viruses in Mauritius over an 8-year period, 2009-2016.
    Virology. 2026;619:110892.
    PubMed         Abstract available

History of Mass Transportation: The CD/CZ ''Hydra'' Diesel Autorail (1968–70) by Vagónka Studénka

 

By Vít Javůrek - http://www.mujweb.cz/www/mhd_jama/vlaky3/Krasa8/libun18.jpg, Public Domain, https://commons.wikimedia.org/w/index.php?curid=6584716

Source: 

Link: https://en.wikipedia.org/wiki/List_of_Czech_locomotive_classes

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#Surveillance and cross-species #transmission #assessment of #H3NX avian #influenza viruses isolated in #Guangdong province, #China from 2023 to 2025

 

Abstract

Continued influenza surveillance remains important, especially given that the emergence of novel subtypes or reassorted influenza viruses with pandemic potential continues to be a worldwide threat. In particular, virus circulating in birds can facilitate interspecies transmission to humans. In this study, we conducted systematic surveillance of H3 subtype avian influenza virus (AIVs) in domestic poultry and wild birds throughout Guangdong Province from 2023 to 2025. A total of 21 strains of H3 subtype AIVs were isolated, and phylogenetic analyses and risk assessment of their internal gene segments revealed genetic evidence of reassortment events, indicating a close genetic relationship with highly pathogenic avian influenza viruses (HPAIVs). ZJ1722, ZJ1542 and SZ837 showed dual-receptor binding ability and robust replication in mammalian cells, which coincided with amino acid mutations in the HA protein associated with human receptor binding. Although the H3NX viruses isolated in this study failed to cause lethality in mice, they efficiently replicated in the nasal turbinate and lungs of mice without prior adaptation. This study highlights the paramount importance of sustained, subtype-specific surveillance targeting H3NX avian influenza viruses coupled with timely risk characterization and assessment. Proactive containment of H3NX avian influenza virus (AIV) transmission has vital implications for safeguarding the sustainability of the poultry industry and protecting global human public health, given the inherent zoonotic potential and evolutionary plasticity of this H3 subtype, which could drive future spillover events.

Source: 

Link: https://www.sciencedirect.com/science/article/pii/S0032579126004918?via%3Dihub

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#Chikungunya fever: #Brazil is intensifying its response to address health emergency in Dourados (MoH, April 4 '26)

 

{Edited}

The Brazilian government has intensified its response to the emergency situation in Dourados (MS), given the increase in cases of chikungunya, with the mobilization of an interministerial task force that integrates actions in health, assistance, civil defense, and logistical support in the territory. The emergency affects the population of the municipality, with a greater impact on indigenous communities.

As a reinforcement to the response already underway, the Federal Government has guaranteed more than R$ 3.1 million in emergency resources for the municipality. 

Of this total, R$ 1.3 million , authorized by the Ministry of Integration and Regional Development (MIDR) in a decree published this Thursday (2), will be allocated to relief and humanitarian assistance actions, such as direct support to the population and local response structures. 

Also this Thursday, the National Secretariat for Civil Protection and Defense approved a work plan worth R$ 974,100 for restoration actions, including urban cleaning, waste removal and disposal in a licensed sanitary landfill, with resources to be transferred directly to the municipality.

The Ministry of Health has already transferred R$ 855,300 to the municipality to cover the costs of surveillance, assistance, and control actions related to chikungunya in the region.

The federal response has been underway since mid-March, coordinated by the Ministry of Health, which mobilized the National Health System (SUS) Task Force , reinforced healthcare teams, and intensified vector surveillance and control actions across the territory. 

The operation includes actively searching for cases, conducting home visits, eliminating [mosquitoes] breeding sites, and expanding services to the population, with special attention to the most vulnerable areas, including indigenous territories.

The National Health System Task Force has 40 mobilized professionals , with 26 currently working directly, and has already carried out 1,288 clinical consultations , 81 transfers for medium and high complexity care, and 225 home visits . 

The teams operate both in indigenous territories and in the municipalities of Dourados and Itaporã, supporting local management, together with the Mato Grosso do Sul State Health Secretariat, reorganizing care flows, expanding active case finding, and guaranteeing assistance, health education, and psychosocial care.

Fiocruz mobilized the shipment of pain medication, reinforcing its ability to meet local demand due to the epidemic.

To expand response capacity, the Ministry of Health authorized the emergency hiring of 50 Endemic Disease Control Agents (ACEs). Of these, 20 have already been trained and will enter the field this Friday (3), while another 30 will begin training to work from Monday (6).

In the field of vector control, actions were intensified with the mobilization of approximately 95 professionals , including Community Health Agents and Indigenous Sanitation Agents (AISAN). Between March 9 and 16, 4,319 properties were inspected , of which 2,173 received treatment , identifying 1,004 breeding sites of the Aedes aegypti mosquito , mainly in water storage containers, solid waste, and tires.

Actions were also taken to control the spread of insecticide using ultra-low volume (ULV) methods, including three cycles of vehicle-mounted ULV application and backpack spraying in 43 high-traffic areas, such as schools and health units. The volunteer effort to remove breeding sites mobilized approximately 100 people and resulted in the collection of four dump truckloads of waste.

Vector control will be reinforced with support from the Ministry of Defense. Currently, 40 Brazilian Army soldiers and five vehicles are already in the area , expanding the operational capacity of the mosquito control efforts.

The Ministry of Health also sent 1,000 Larvicide Dissemination Stations (LDSs). Of the first 300 units, 150 have already been installed in priority neighborhoods, with expansion planned for other regions of the municipality.

Through Funai (National Indian Foundation), actions are also underway to provide direct support to indigenous communities in Dourados, focusing on food security and access to water. 

The distribution of 6,000 food baskets is planned , in three stages between April and June, in coordination with the Ministry of Social Development (MDS), the National Supply Company (Conab), the Special Secretariat for Indigenous Health (Sesai), and Civil Defense. The expansion of the water supply system in the Jaguapiru and Bororó villages has also been authorized to guarantee access to potable water and improve the sanitary conditions of the indigenous communities.

Epidemiological scenario

The most recent epidemiological surveillance data, referring to April 2nd, indicates that the region has registered 2,812 notifications of chikungunya, with 1,198 confirmed, 430 discarded, and 1,184 still under investigation. The highest concentration of cases is in indigenous villages, where 822 cases were confirmed—68.6% of the total confirmations in the region. 

So far, five deaths have been confirmed in Dourados, all among the indigenous population of the municipality.

To strengthen the coordination of actions, the Ministry of Health established a Situation Room in Brasília on March 25th, with permanent meetings to monitor the situation and integrate decisions between technical teams and managers.

Within the indigenous territory, the work is carried out in a coordinated manner between the Ministries of Health, Indigenous Peoples, Integration and Regional Development, Defense, Social Development, Funai (National Indian Foundation), and the Special Indigenous Health District of Mato Grosso do Sul (DSEI-MS), which has 210 Indigenous Health Agents (AIS) and 150 Indigenous Sanitation Agents (Aisan), in addition to logistical support with 91 pickup trucks, 6 vans, and 1 truck.

The actions also include training for health professionals in the municipal and indigenous networks, aligning clinical protocols for diagnosis and proper management of the disease, as well as health education activities in schools and communities. There are also plans to send prevention messages via WhatsApp to more than 234,000 residents , in Portuguese and with translation into indigenous languages.

The response also includes improving the quality of care, with the implementation of the national chikungunya protocol and training of teams for early identification of severe cases and appropriate clinical management.

Source: 

Link: https://www.gov.br/saude/pt-br/assuntos/noticias/2026/abril/governo-do-brasil-intensifica-resposta-integrada-e-mobiliza-forca-tarefa-para-enfrentar-emergencia-sanitaria-em-dourados-ms-2

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#Evidence of #SARS-CoV-2 #Exposure in #Rodents from Rural Localities in the #Yucatan Peninsula, #Mexico

 

Abstract

Zoonotic diseases involve pathogen transmission between humans and animals, with most research focused on animal-to-human spillover. However, reverse zoonosis—the transmission of pathogens from humans to animals—remains understudied despite its potential ecological and epidemiological consequences. The SARS-CoV-2 pandemic highlights this risk, as human-associated viruses may sporadically infect wildlife species and generate novel exposure pathways. To assess evidence of SARS-CoV-2 exposure in wildlife, we analyzed serum and rectal swab samples from rodents collected in rural localities of the Yucatan Peninsula, Mexico, between 2021 and 2022. An indirect ELISA detected antibodies against SARS-CoV-2 in 23.1% of sampled rodents. Molecular analysis detected one positive sample with a pan-coronavirus RT-PCR, though all were negative for SARS-CoV-2–specific assays. This study provides serological evidence of SARS-CoV-2 exposure in rodent communities from rural areas of Mexico and is consistent with sporadic wildlife spillback events rather than sustained transmission. The observed exposure patterns may be influenced by human activities and frequent human–wildlife interactions in heterogeneous rural landscapes. Our results underscore the need for integrated serological and genomic surveillance to better understand the ecological context of reverse zoonosis and its implications for public health.

Source: 

Link: https://www.mdpi.com/1999-4915/18/4/435

____

#USA, #Wastewater Data for Avian #Influenza #H5 (#CDC, April 3 '26)

 

{Excerpt}

(...)

Time Period: March 22, 2026 - March 28, 2026

-- H5 Detection: 8 site(s) (1.7%)

-- No Detection: 458 site(s) (98.3%)

-- No samples in last week: 105 site(s)

(...)

Source: 

Link: https://www.cdc.gov/nwss/rv/wwd-h5.html

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#Taiwan, First locally acquired case of #H7N7 avian #influenza A virus has been released from isolation today (MoH, April 3 '26)

 

The Taiwan Centers for Disease Control (CDC) announced today (April 3) that the first case of local human infection with the H7 subtype of novel influenza A, which was detected recently, has been cured and discharged from isolation today after clinical treatment. 

The patient's condition has continued to improve and all tests have been negative. The patient will continue to be monitored until April 6.

The Taiwan Centers for Disease Control (CDC) stated that the sputum sample collected from the case on March 27th was genetically sequenced to identify the virus as H7N7, a low-pathogenic avian influenza virus (LPAI). 

No drug-resistant mutations were found, and the virus remains sensitive to antiviral drugs; the public need not panic. 

The CDC also today, in accordance with the International Health Regulations (IHR), notified the World Health Organization of this first locally acquired H7N7 influenza case through the IHR contact window.

The Taiwan Centers for Disease Control (CDC) explained that since 1959, more than 90 human cases of H7N7 have been reported globally, concentrated before 2003, mainly in Europe. 

Of these, only one case resulted in death, and the vast majority were mild cases of conjunctivitis. 

Subsequently, Italy reported three cases in 2013, also mild cases of conjunctivitis. 

No new human cases have been reported since 2013, but the virus continues to spread and evolve in birds. 

The genetic analysis of the first H7 case in Taiwan showed that it was significantly different from the H7 cases in European human cases 10-20 years ago, and most similar to the H7 cases detected in wild birds in Taiwan over the years. 

No mutations related to enhanced bird-to-human transmission were found, and it is judged to be an isolated event with manageable risks.

The Centers for Disease Control (CDC) reiterates its reminder that workers in the poultry and livestock industries should adhere to disease prevention guidelines, including wearing protective equipment and proper disinfection after handling. 

If respiratory or eye symptoms develop, seek medical attention immediately and inform the animal contact history. 

The public should also follow the "5 Dos and 6 Don'ts" principle to avoid contact with or purchase poultry and livestock products from unknown sources, jointly safeguarding public health and safety. 

More information can be found on the CDC website (https://www.cdc.gov.tw/) or by calling the disease prevention hotline 1922.

Source: 

Link: https://www.cdc.gov.tw/Bulletin/Detail/oWFPJ8DnGZKl-Ygm43iPQQ?typeid=9

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#Chile - #Influenza A #H5N1 viruses of high pathogenicity (Inf. with) (non-poultry including wild birds) (2017-) - Immediate notification

{Magallanes y Antártica Chilena} All the birds were culled. At this time, the SAG is on the field implementing all surveillance measures in the control zone.

Source: 

Link: https://wahis.woah.org/#/in-review/7402

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#Progress towards the #WHO Global Initiative for #Childhood #Cancer target of 60% 5-year survival for all childhood cancers combined, 1990–2019 (CONCORD-4): ...

 

Summary

Background

CONCORD is a global public health programme for long-term surveillance of population-based cancer survival. The first three cycles of this programme focused primarily on adults. In CONCORD-4, for the first time, we also included all cancers in children. The WHO Global Initiative for Childhood Cancer (GICC), published in 2018, set a target for 5-year survival for all childhood cancers combined, worldwide, to reach 60% by 2030. We designed the protocol for CONCORD-4 to assess progress towards this target in as many countries as possible.

Methods

We identified population-based cancer registries from the members of the International Association of Cancer Registries and other sources. We invited 513 registries in 101 countries to submit anonymised individual records for all children (aged 0–14 years) living in their territory who were diagnosed with any form of cancer during the 30-year period 1990–2019, or later years. The data included demographic variables, the morphological type and anatomical location of the tumour, and the follow-up for the vital status of each child. We used the data for 2010–19 to construct a set of weights that reflect the global frequency distribution of childhood cancers, by age, sex, and subtype, both for the 12 major groups in the third edition of the International Classification of Childhood Cancer (ICCC-3) and for the six WHO tracer cancers prioritised in the GICC. We estimated 5-year net survival for children diagnosed during 1990–2019 by age, sex, and type of cancer, using the Pohar Perme estimator. We then used the weights to construct a Cancer Survival Index (CSI) as a weighted average of these survival estimates, for each country and each 5-year period during 1990–2019 for the 12 ICCC-3 groups and separately for the six WHO tracer cancers.

Findings

We received 679 776 individual records for children diagnosed with cancer during 1990–2022 from 307 population-based cancer registries in 68 countries and territories, 52 with 100% national coverage. We produced two sets of weights, by age, sex, and type of cancer, reflecting the global distribution of cancer in children, both for all childhood cancers and for the six WHO tracer cancers. We restricted survival analyses to 613 021 children diagnosed during 1990–2019. The 5-year CSI for all childhood cancers combined increased in most countries between 1990 and 2019. For children diagnosed during 2015–19, the CSI was more than 80% in most high-income countries, in the range 60–80% in most upper-middle-income countries, and in the range 50–60% in the five participating lower-middle-income countries.

Interpretation

The new CSI enables quantitative international comparison of trends in survival for all childhood cancers combined and for the six WHO tracer cancers, through a simple three-way standardisation by age, sex and subtype. The CSI should be a useful tool to monitor future trends. In most high-income, upper-middle-income, and lower-middle-income countries participating in CONCORD-4, the all-cancers CSI was either close to or had already passed the GICC target to reach 60% 5-year survival for all childhood cancers combined, worldwide, by 2030. The GICC target therefore may not be ambitious enough.

Funding

Cancer Research UK, Institut National du Cancer (France), St Jude Children's Research Hospital (USA), US National Cancer Institute, and Dell Technologies.

Research in context

Evidence before this study

Survival differs widely between the various types of cancer in children, and between countries defined by their World Bank national income group. In 2018, WHO published the Global Initiative for Childhood Cancer (GICC), with the central target of reaching 60% survival (presumed to be 5 years) for all childhood cancers combined, worldwide, by 2030. 

No single metric exists to enable monitoring of progress towards this target. We searched PubMed for articles published in English, without date limits, using the following search string: “Population-based cancer regist*”[tiab] OR population-based registr* OR “population-based study”[tiab:~0] OR “EUROCARE”[tiab] AND “case-mix-standardised survival”[tiab:~0] OR “all cancers combined survival”[tiab:~0] OR “case-mix by cancer “[tiab:~0] OR “cancer survival index”[tiab:~0] OR “one-number index”[tiab:~0] OR “all cancers survival”[tiab:~0] OR “patient survival for all cancers combined”[ti:~0]”. 

At present, the only attempt to evaluate progress towards the GICC target is derived from simulation-based model estimates of net survival for 197 countries. In most of these countries, real-world data from population-based cancer registries are not available. The estimates include all types of cancer combined in the age range 0–14 years in a single pool, despite the well known differences in survival by age, sex, and type of cancer. Some large comparisons of survival for all cancers combined were produced by the EUROCARE project, in Europe, or by NORDCAN, in northern Europe only, or in single countries (Canada, China, Denmark, and the USA). 

In these studies, an estimate of survival for all cancers combined, in adults or in children, was based on a double standardisation, starting from the usual standardisation by age, followed by a further standardisation by case-mix or cancer type, and sex. This approach implies the use of two sets of weights, one for age-standardisation and another to reflect the cancer type and sex distribution of the patients included in each study. These distributions are not representative of the global population of cancer patients—in this context, children. The cancer survival indices derived for all these studies are not directly comparable either between countries or over time.

Added value of this study

The current cycle of the CONCORD programme for global surveillance of trends in population-based cancer survival (CONCORD-4) has extended coverage to include data for adults diagnosed with one of 22 malignancies, and for the first time, also includes data on all children diagnosed with a cancer during 1990–2022. 

CONCORD-4 provides the largest global real-world database on childhood cancer, including data from 307 population-based cancer registries in 68 countries, 52 with 100% national coverage. We created two sets of weights that reflect the global frequency distribution of childhood cancers by age, sex, and subtype: one set for the 12 major groups defined in the 3rd edition of the International Classification of Childhood Cancer, and another for the six tracer cancers prioritised by WHO in 2021. 

For each country and 5-year calendar period during the three decades 1990–2019, we then constructed a Cancer Survival Index (CSI), which enables quantitative comparisons of net survival for all childhood cancers combined, between countries and over time. Both sets of weights, which allow for a simple three-way standardisation by age, sex, and subtype, are now available for national and international research on childhood cancer survival. 30-year trends in the CSI offer a robust, long-term baseline against which to evaluate progress towards the GICC 2030 target.

Implications of all the available evidence

The CSI will facilitate monitoring of real-world progress towards the GICC target for childhood cancer survival. The CSI that includes all childhood cancers is a better indicator than the CSI based on the six WHO tracer cancers, especially for lower-middle-income countries, where diagnostic facilities are often inadequate, and the need to improve survival is even more urgent. WHO should devote even greater efforts to increase the coverage of population-based cancer registries worldwide and to facilitate data sharing for international research. In most high-income and upper-middle-income countries, impressive trends in survival for all childhood cancers combined since 1990 have already exceeded the GICC target for 2030, suggesting that a more ambitious target could be set. In low-income countries and lower-middle-income countries, where 60% of the world's children live, late presentation, abandonment of treatment, and suboptimal health-care systems are major contributors to poor survival.

Source: 

Link: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00189-3/fulltext?rss=yes

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High #risk of hypoxemic #COVID19 #pneumonia in #myasthenia gravis patients with type I IFN #autoantibodies

 

Abstract

Patients with myasthenia gravis (MG) may produce autoantibodies neutralizing type I interferons (AAN-I-IFN), which have been shown to underlie severe viral diseases, including critical COVID-19 pneumonia, in patients without MG. We studied an international cohort of 85 unvaccinated SARS-CoV-2-infected MG patients with no antiviral treatment. Hypoxemic pneumonia occurred in 48 of these patients, including 22 (45.8%) with AAN-I-IFN, which neutralized both IFN-α2 and IFN-ω in 14 (29.2%) patients. Six (16.2%) of the remaining 37 patients had AAN-I-IFN, which neutralized both IFN-α2 and IFN-ω in three patients. The risk of hypoxemic pneumonia was greater in MG patients with AAN-I-IFN neutralizing 10 ng/mL of both IFN-α2 and IFN-ω (odds ratio and 95% confidence interval (OR [95% CI]): 12.7 [2.1-78.9], p=0. 0010) or IFN-α2 at any dose (4.7 [1.5-15.0], p=0.0054) than in those without such autoantibodies. The risk of AAN-I-IFN production was much higher in MG patients than in the general population (28.9 [10.8-77.7], p=4.9x10-27). Fourteen patients had thymoma, which increased the risk of AAN-I-IFN (64% versus 27%, (OR [95% CI]: 5.6 [1.6-19.4], p=0.0050) and hypoxemic pneumonia (9.2 [1.9-44.2]; p=0.0019). Thymoma is, thus, associated with a higher risk of producing AAN-I-IFN, and these autoantibodies are associated with a higher risk of developing life-threatening COVID-19 pneumonia in patients with MG.

Competing Interest Statement

J.-L. C. is an inventor on patent application PCT/US2021/042741, filed July 22, 2021, submitted by The Rockefeller University and covering the diagnosis of susceptibility to, and the treatment of, viral disease, and viral vaccines, including COVID-19 and vaccine-associated diseases. None of the other authors has any conflict of interest to declare.

Funding Statement

The Laboratory of Human Genetics of Infectious Diseases is supported by the Howard Hughes Medical Institute, the Rockefeller University, the St. Giles Foundation, the National Institutes of Health (NIH) (R01AI163029), the National Center for Advancing Translational Sciences (NCATS), NIH Clinical and Translational Science Award (CTSA) program (UL1TR001866), the Fisher Center for Alzheimer s Research Foundation, the Meyer Foundation, the JPB Foundation, the Stavros Niarchos Foundation (SNF) as part of its grant to the SNF Institute for Global Infectious Disease Research at The Rockefeller University, the French Agence Nationale de la Recherche (ANR) under the France 2030 program (ANR-10-IAHU-01), the Integrative Biology of Emerging Infectious Diseases Laboratory of Excellence (ANR-10-LABX-62-IBEID), the French Foundation for Medical Research (FRM) (EQU202503020018), the ANR-RHU program ANR-21-RHUS-0008, ANR GENVIR (ANR-20-CE93-0003), ANR AABIFNCOV (ANR-20-CO11-0001) and ANR GenMISC (ANR-21-COVR-0039), AI2D (ANR-22-CE15-0046) projects, the European Union s Horizon 2020 research and innovation program under grant agreement no. 824110 (EASI-genomics), the HORIZON-HLTH-2021-DISEASE-04 program under grant agreement 101057100 (UNDINE), the Square Foundation, Grandir - Fonds de solidarite pour l enfance, the Fondation du Souffle, the SCOR Corporate Foundation for Science, the Battersea and Bowery Advisory Group; The French Ministry of Higher Education, Research, and Innovation (MESRI-COVID-19), William E. Ford, General Atlantic s Chairman and Chief Executive Officer, Gabriel Caillaux, General Atlantic s Co-President, Managing Director and Head of Business in EMEA, and the General Atlantic Foundation, Institut National de la Sante et de la Recherche Medicale (INSERM), REACTing-INSERM and Paris Cite University. For the collection and biobanking of MG samples, RLP and FT acknowledge support provided by the FP6 program (MYASTAID, LSHM-CT-2006-037833), FIGHT-MG (HEALTH-2009-242-210). N.L. was supported by the Swedish Research Council (no 2021-03118) and the Goran Gustafsson Foundation (no 2141 and 2247). TLV was supported by a Poste CCA-INSERM-Bettencourt (with the support of the Fondation Bettencourt-Schueller). P.B. was supported by the French Foundation for Medical Research (FRM, EA20170638020), the MD-PhD program of the Imagine Institute (with the support of the Fondation Bettencourt-Schueller), and a Poste CCA-INSERM-Bettencourt (with the support of the Fondation Bettencourt-Schueller).

Source: 

Link: https://www.medrxiv.org/content/10.64898/2026.03.27.26349525v1

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#Taiwan: First locally acquired #human case of novel avian #H7 #influenza virus has been detected (MoH, edited)

 

The Taiwan Centers for Disease Control (CDC) announced today (March 2nd) the first locally transmitted case of novel H7 subtype avian influenza in Taiwan. 

The patient is a man in his 70s from central Taiwan who works in poultry farming and has a history of chronic illness. 

He developed symptoms of runny nose, cough, and body aches on March 20th and sought medical attention at a hospital on March 22nd due to fever. 

He was admitted to the hospital on the same day. 

Imaging examination revealed pneumonia. 

Based on clinical symptoms, test results, and the patient's contact history, the doctor reported the case as a novel H7 avian influenza and administered antiviral medication. 

Further testing and gene sequencing by the CDC confirmed the virus as H7 subtype avian influenza. 

Sequence analysis showed that this H7 belongs to the Eurasian lineage and is similar to the H7 subtype avian influenza viruses monitored in wild birds (mainly ducks and anadidae) in Taiwan over the years. 

However, it is different from the H7N9 subtype avian influenza virus that circulated in mainland China from 2013 to 2019, and is a low-pathogenic avian influenza virus. 

This morning, the CDC convened a meeting with agricultural authorities and relevant medical and veterinary experts to discuss the case and, based on the test results, confirmed it as a case of novel H7 avian influenza in humans. 

The patient's condition has improved and they are continuing isolation and treatment. 

The Centers for Disease Control (CDC) stated that after the first locally transmitted case of H7 subtype novel influenza A was detected in Taiwan, health and agricultural authorities immediately launched a joint epidemic prevention operation to carry out relevant investigations and prevention measures. 

Health authorities, with the assistance of epidemiologists and the Health Bureau, conducted on-site epidemiological investigations at the patient's residence, poultry farm, and hospital. 

Currently, 33 close contacts are under health monitoring and management, and 3 have been given preventative medication based on risk assessment. 

Tests were conducted on 6 family members, all of whom tested negative. 

Agricultural authorities immediately implemented movement restrictions at the poultry farm, and animal testing results were negative for avian influenza virus. 

To clarify the source of infection, today's expert meeting resolved to request the farm to expand testing at nearby poultry farms and to cooperate with wild bird associations to collect droppings from surrounding wild birds. 

Furthermore, the CDC will continue to cooperate with the farm to obtain the gene sequence of the H7 virus detected in Taiwan for further comparison. 

Health and agricultural authorities will continue to strengthen surveillance of humans and animals, including respiratory viruses and influenza/novel coronavirus pneumonia surveillance in medical institutions, active surveillance of poultry farms and migratory birds, and will cooperate with farmers to promote personal protective measures for poultry farmers and public health education. 

They have also contacted duck farming associations to distribute 40,000-50,000 masks free of charge to duck farmers. 

The Centers for Disease Control (CDC) pointed out that, based on current epidemiological investigations and test results, the genetic analysis of this case shows a low-pathogenic avian influenza virus, without any mutations increasing the risk of avian-to-human transmission, and it remains a common avian virus. 

The initial assessment is that this case is an isolated incident. 

Considering the patient's improved condition after treatment, the lack of mutations increasing the risk of avian-to-human transmission in the preliminary genetic analysis, the negative test results at the poultry farm, and the absence of any other family members showing symptoms after the patient's onset, the risk is assessed as controllable, and there is no immediate risk of the outbreak expanding. 

However, to understand the potential risks of this case, they will continue to track the symptoms and test results of contacts, further analyze the virus and trace possible sources of infection, and have activated a joint working group on the risk assessment of zoonotic infectious diseases between agriculture and health authorities to conduct a comprehensive risk assessment. 

The Taiwan Centers for Disease Control (CDC) will notify the World Health Organization (WHO) today through the IHR contact window in accordance with the International Health Regulations (IHR).

According to surveillance data, since the novel influenza A virus was classified as a Category 5 notifiable infectious disease in Taiwan in 2014, a total of 5 sporadic cases have been reported. Besides this case, the others were reported in 2017 (H7N9, imported from outside China), 2021 (H1N2v), 2022 (H1N2v), and 2023 (H1N2v). In addition, there were 4 confirmed cases of H7N9 imported from outside China in 2013-2014; none of the contacts were infected.

The CDC explained that the H7N9 sequence in today's reported case is only closely related to one other human case, H7N4, reported in Jiangsu, China in 2018. The case involves a 68-year-old woman with a history of coronary heart disease and hypertension. She developed symptoms such as cough, weakness, and muscle aches on December 25, 2017, and was hospitalized for pneumonia on January 1, 2018, and discharged on January 22 after recovery. Prior to the onset of illness, the patient had contact with live poultry. Her close contacts did not develop any suspected symptoms during the observation period. The virus remains avian and has not shown resistance to existing antiviral drugs.

The Centers for Disease Control (CDC) reminds workers involved in poultry and livestock farming to implement self-protection measures during operations and to conduct thorough disinfection after work to reduce the risk of infection with the novel influenza A. If symptoms of acute respiratory infection or conjunctivitis appear, seek medical attention immediately and proactively inform healthcare professionals of your occupational history of contact with animals to facilitate early diagnosis. The public is advised to implement the "5 Dos and 6 Don'ts" epidemic prevention principles in daily life:

"5 Dos": Cook meat and eggs thoroughly with soap; wash hands thoroughly with soap; if symptoms appear, wear a mask, seek medical attention immediately, and inform the doctor of your occupation and contact history; those who have long-term contact with poultry and livestock should get vaccinated against influenza; maintain a balanced diet and exercise appropriately.

"6 Don'ts": Don't eat raw poultry, eggs, or poultry products; don't smuggle or buy meat of unknown origin; don't touch or feed poultry and livestock; don't release or discard poultry and livestock indiscriminately; don't mix poultry and livestock with other poultry and livestock; and don't go to places with poor air circulation or crowded places.

For related information, please visit the Taiwan Centers for Disease Control website (https://www.cdc.gov.tw/) or call the toll-free epidemic prevention hotline 1922 (or 0800-001922).

Source: 

Link: https://www.cdc.gov.tw/Bulletin/Detail/bZE85LXA9ZGdCvEJKZe6Cg?typeid=9

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#Serological #Surveillance of Avian #Influenza Virus #H9N2 Subtype in #Occupational Populations Exposed to #Poultry Environment in #China During 2018–2023

 

Abstract

Background

Avian influenza virus (AIV) H9N2 has a major role in the emergence of influenza pandemic. We assessed the risk of AIV H9N2 to the human population and public health.

Method

The hemagglutination inhibition method was used to screen for hemagglutinin antibodies. Microneutralization tests were performed to confirm neutralizing antibodies against the AIV H9N2 subtype. Real-time polymerase chain reaction was conducted to detect the H9 subtype in environmental samples. GraphPad Prism software was used for mapping, and STATA software was used for statistical analysis.

Results

The nationwide seroprevalence among these populations was 0.76%. Seroprevalence was compared across regions, genders, and occupational exposure sites. The seroprevalence rates for males and females showed no significant difference. Significant differences were found across regions and occupational exposure environments (P < .05). The south and southwest regions had the highest seroprevalence rates at 1.58% and 1.38%, respectively. The highest seroprevalence was observed in individuals exposed to live poultry market (1.51%). Significant regional differences in H9 nucleic acid positive rates (NAPRs) were found (P < .05), with the southwest and central regions showing the highest rates at 25.99% and 24.35%, respectively. H9 NAPR in live poultry markets (LPMs), farms, and slaughterhouses varied significantly by region (P < .05).

Conclusions

Poultry-related environments have become a key factor in AIV H9N2 infection among occupational populations. Exposure to LPM showed the highest seroprevalence among occupational groups. The distribution characteristics of H9N2 across different poultry environments increased the risk of infection in occupationally exposed populations.

Source: 

Link: https://academic.oup.com/ofid/article/13/4/ofag144/8537381

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